|
| |
|
2121 S Oneida St Suite 321 Denver CO 80224-2549 | |
| (303) 796-8767 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2121 S Oneida St, Denver, Colorado |
| Authorized Official Name and Position | Leon Vilner (DENTIST) |
| Authorized Official Contact | 3037968767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2121 S Oneida St Suite 321 Denver CO 80224-2549 Ph: (303) 796-8767 | 2121 S Oneida St Suite 321 Denver CO 80224-2549 Ph: (303) 796-8767 |
| NPI Number | 1518017151 |
|---|---|
| Provider Enumeration Date | 01/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518017151 | NPI | - | NPPES |
| 62059700 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 7618 (Colorado) | Primary |
4th Avenue Family Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 390 University Blvd, Denver, CO 80206 Phone: 303-333-0771 Fax: 303-333-0779 | |
Jan B Buckstein Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1660 S Albion St, Suite #718, Denver, CO 80222 Phone: 303-757-7759 Fax: 303-757-1501 | |